J.D.’s Fabulous Feet Mailing Address: #11 Depalme Street, Red Deer, AB T4R 2G5 Student Information Today's Date Student's Name Student's Birthday Age as of Sept. 1st Years of Experience Previous Insturctors Parent/Guardian Info. Parent/Guardian Name Home Number Cell Number Email Address City Province Postal Code Emergency Info. Emergency Contact Home Cell Work Medical problems/conditions we should be aware of: Dance Discipline Tap Lyrical (competitive only) Musical Theater (competitive) Jazz Ballet Stretch/Strength Combo Class (jazz, ballet, tap 3-6 yrs.) Ballet Tech (must for pointe & students doing solo) Pre-pointe Hip Hop Pointe (you will be notified if you can take this class) Contemporary (competitive only) Lyrical/Contemporary Rec. Class(10 yrs & up) Musical Theater (recreational) Dancer's Bootcamp Program (for our competition team) Acro (competitive only) Registration Fees Prior to May 31st After May 31st Fee - $15.00GST - $0.75TOTAL - $15.75 Fee - $25.00GST - $1.25TOTAL - $26.25 Payment Info. Card TypeVisaMastercardAmerican Express Card Number Expiry Date CV2 Parent/Guardian Signature Leave a ReplyCancelYou must be logged in to post a comment.